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Individual
DR. SAMANTHA FAIRBANKS
Active
Individual
DR. SAMANTHA FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033.0134296
VT
183500000X
Pharmacist
Primary
PH61114616
WA
1835P2201X
Ambulatory Care Pharmacist
PH61114616
WA
Other
Enumeration date
09/07/2019
Last updated
08/06/2024
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